A Five-Year Experience of Mycetoma In a Tertiary Health Care Centre With Review of Literature

Saqib Ahmed,*
Ruhi Hasan

Abstract

Introduction: Mycetoma is a tropical disease which is characterised by extensive tissue involvement which if untreated results in localised destruction, deformities and disabilities Material and Methods: This study was a three-year retrospective and two-year prospective study conducted on 34 patients including all their relevant history, clinical details and radiological investigations and results of final diagnosis by FNA, histopathological and Culture. Results : Overall findings revealed a Male: Female Ratio of 2.7:1 with most cases being adults (20,58.8%) and foot being commonly involved (14,41.1%) with a mean duration of > 6 months. 28 cases (82.3%) were of eumycetoma while 6 cases (17.6%) were of Actinomycetoma. 26 cases (76.4% ) which on cytology showed mixed inflammatory infiltrate with clumps of fibrillar organisms while histologically, suppurative granulomas surrounding characteristic grains along with inflammatory infiltrates were noted in most cases. Conclusion Early recognition of clinical features with timely diagnosis followed by initiation of appropriate therapy as well as social awareness, and education of people at risk is equally important to prevent lifelong damage.